دورية أكاديمية
Recipient ABCB1, donor and recipient CYP3A5 genotypes influence tacrolimus pharmacokinetics in liver transplant cases.
العنوان: | Recipient ABCB1, donor and recipient CYP3A5 genotypes influence tacrolimus pharmacokinetics in liver transplant cases. |
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المؤلفون: | Naushad SM; Department of Pharmacogenomics, Sandor Lifesciences Pvt Ltd, Hyderabad, India. Electronic address: naushadsm@gmail.com., Pavani A; Department of Pharmacogenomics, Sandor Lifesciences Pvt Ltd, Hyderabad, India., Rupasree Y; Department of Pharmacogenomics, Sandor Lifesciences Pvt Ltd, Hyderabad, India., Hussain T; Center of Excellence in Biotechnology Research, College of Science, King Saud University, Riyadh, Saudi Arabia., Alrokayan SA; Department of Biochemistry, College of Science, King Saud University, Riyadh, Saudi Arabia., Kutala VK; Department of Clinical Pharmacology and Therapeutics, Nizam's Institute of Medical Sciences, Hyderabad, India. |
المصدر: | Pharmacological reports : PR [Pharmacol Rep] 2019 Jun; Vol. 71 (3), pp. 385-392. Date of Electronic Publication: 2019 Jan 11. |
نوع المنشور: | Journal Article; Meta-Analysis |
اللغة: | English |
بيانات الدورية: | Publisher: Springer International Publishing Country of Publication: Switzerland NLM ID: 101234999 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2299-5684 (Electronic) Linking ISSN: 17341140 NLM ISO Abbreviation: Pharmacol Rep Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2020- : Cham, Switzerland : Springer International Publishing Original Publication: Kraków, Poland : Institute of Pharmacology, Polish Academy of Sciences, c2005- |
مواضيع طبية MeSH: | Cytochrome P-450 CYP3A/*genetics , Tacrolimus/*pharmacokinetics, ATP Binding Cassette Transporter, Subfamily B/genetics ; Genotype ; Graft Rejection/metabolism ; Humans ; Immunosuppression Therapy/methods ; Liver Transplantation/methods ; Polymorphism, Genetic/genetics ; Tissue Donors |
مستخلص: | Background: Effective immunosuppression through optimization of trough levels tacrolimus reduces post-transplant mortality rate in liver transplant cases. Methods: Meta-analysis was carried out to evaluate how donor/recipient CYP3A5 (n = 678) and recipient ABCB1 (n = 318) genotypes influence tacrolimus pharmacokinetics till one-month of transplantation. Results: The donor CYP3A5*3/*3 genotype exhibited higher concentration/dose (C/D) ratio of tacrolimus in week 1 (mean difference: 65.04, 95% CI: 15.30-114.79 ng/ml/mg/kg), week 2 (mean difference: 21.7, 95% CI: 12.6-30.9 ng/ml/mg/kg) and week 4 (mean difference: 43.28, 95% CI: 17.09 - 69.49 ng/ml/mg/kg) compared to *1/*1 and *1/*3 genotypes. The recipient CYP3A5 *3/*3 genotype did not showed significant difference in tacrolimus C/D ratio in week 1 compared to other two genotypes. However, week 2 (mean difference: 44.16, 95% CI: 3.68-84.65 ng/ml/mg/kg) and week 4 (mean difference: 43.74, 95% CI: 12.50-75.00 ng/ml/mg/kg) availability was higher in *3/*3 mutant recipients. However, the recipient ABCB1 3435 C > T polymorphism has no significant influence on tacrolimus pharmacokinetics till one month of transplant. Conclusions: The donor and recipient CYP3A5*3 polymorphism influences tacrolimus pharmacokinetics in the first month post-transplantation, whereas the association with recipient ABCB1 3435 C > T is inconclusive. (Copyright © 2019 Institute of Pharmacology, Polish Academy of Sciences. Published by Elsevier B.V. All rights reserved.) |
فهرسة مساهمة: | Keywords: ABCB1; CYP3A5; Liver transplantation; Pharmacokinetics; Tacrolimus |
المشرفين على المادة: | 0 (ABCB1 protein, human) 0 (ATP Binding Cassette Transporter, Subfamily B) EC 1.14.14.1 (CYP3A5 protein, human) EC 1.14.14.1 (Cytochrome P-450 CYP3A) WM0HAQ4WNM (Tacrolimus) |
تواريخ الأحداث: | Date Created: 20190420 Date Completed: 20191120 Latest Revision: 20211204 |
رمز التحديث: | 20240628 |
DOI: | 10.1016/j.pharep.2019.01.006 |
PMID: | 31003147 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2299-5684 |
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DOI: | 10.1016/j.pharep.2019.01.006 |